[Congressional Record Volume 171, Number 213 (Wednesday, December 17, 2025)]
[House]
[Pages H5947-H5956]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                              {time}  0920
 PROVIDING FOR CONSIDERATION OF H.R. 6703, LOWER HEALTH CARE PREMIUMS 
 FOR ALL AMERICANS ACT; PROVIDING FOR CONSIDERATION OF H.R. 498, DO NO 
HARM IN MEDICAID ACT; PROVIDING FOR CONSIDERATION OF H.R. 3492, PROTECT 
 CHILDREN'S INNOCENCE ACT; AND RELATING TO CONSIDERATION OF H.R. 4776, 
    STANDARDIZING PERMITTING AND EXPEDITING ECONOMIC DEVELOPMENT ACT

  MR. GRIFFITH. Mr. Speaker, by direction of the Committee on Rules, I 
call up House Resolution 953 and ask for its immediate consideration.
  The Clerk read the resolution, as follows:

                              H. Res. 953

       Resolved, That upon adoption of this resolution it shall be 
     in order to consider in the House the bill (H.R. 6703) to 
     ensure access to affordable health insurance. All points of 
     order against consideration of the bill are waived. The bill 
     shall be considered as read. All points of order against 
     provisions in the bill are waived. The previous question 
     shall be considered as ordered on the bill and on any 
     amendment thereto to final passage without intervening motion 
     except: (1) one hour of debate equally divided among and 
     controlled by the respective chairs and ranking minority 
     members of the Committees on Education and Workforce, Energy 
     and Commerce, and Ways and Means, or their respective 
     designees; and (2) one motion to recommit.
       Sec. 2.  Upon adoption of this resolution it shall be in 
     order to consider in the House the bill (H.R. 498) to amend 
     title XIX of the Social Security Act to prohibit Federal 
     Medicaid funding for gender transition procedures for minors. 
     All points of order against consideration of the bill are 
     waived. The bill shall be considered as read. All points of 
     order against provisions in the bill are waived. The previous 
     question shall be considered as ordered on the bill and on 
     any amendment thereto to final passage without intervening 
     motion except: (1) one hour of debate equally divided and 
     controlled by the chair and ranking minority member of the 
     Committee on Energy and Commerce or their respective 
     designees; and (2) one motion to recommit.
       Sec. 3.  Upon adoption of this resolution it shall be in 
     order to consider in the House the bill (H.R. 3492) to amend 
     section 116 of title 18, United States Code, with respect to 
     genital and bodily mutilation and chemical castration of 
     minors. All points of order against consideration of the bill 
     are waived. The amendment in the nature of a substitute 
     recommended by the Committee on the Judiciary now printed in 
     the bill shall be considered as adopted. The bill, as 
     amended, shall be considered as read. All points of order 
     against provisions in the bill, as amended, are waived. The 
     previous question shall be considered as ordered on the bill, 
     as amended, and on any further amendment thereto, to final 
     passage without intervening motion except: (1) one hour of 
     debate equally divided and controlled by the chair and 
     ranking minority member of the Committee on the Judiciary or 
     their respective designees; (2) the further amendment printed 
     in the report of the Committee on Rules accompanying this 
     resolution, if offered by the Member designated in the 
     report, which shall be in order without intervention of any 
     point of order, shall be considered as read, shall be 
     separately debatable for the time specified in the report 
     equally divided and controlled by the proponent and an 
     opponent, and shall not be subject to a demand for division 
     of the question; and (3) one motion to recommit.
       Sec. 4.  During consideration of the bill (H.R. 4776) to 
     amend the National Environmental Policy Act of 1969 to 
     clarify ambiguous provisions and facilitate a more efficient, 
     effective, and timely environmental review process, pursuant 
     to House Resolution 951, the further amendment specified in 
     section 5 of this resolution shall be considered as adopted 
     in the House and in the Committee of the Whole.
       Sec. 5.  The amendment referred to in section 4 of this 
     resolution is as follows:
        ``Page 29, after line 6, insert the following:
       SEC. 4. PRESERVATION OF ONGOING ADMINISTRATIVE CORRECTIONS.
       This Act, and the amendments made by this Act, shall not 
     apply to any agency action with respect to which a Federal 
     agency has, during the period beginning on January 20, 2025, 
     and ending on the date of enactment of this Act--
       (1) filed a motion to voluntarily remand; or
       (2) otherwise reopened, reconsidered, or initiated 
     corrective action under the statutory authority of the 
     Federal agency, regardless of whether the Federal agency has 
     completed such corrective action as of the date of enactment 
     of this Act.''.

  The SPEAKER pro tempore. The gentleman from Virginia is recognized 
for 1 hour.
  MR. GRIFFITH. Mr. Speaker, for the purpose of debate only, I yield 
the customary 30 minutes to the gentleman from Massachusetts (Mr. 
McGovern), pending which I yield myself such time as I may consume. 
During consideration of this resolution, all time yielded is for the 
purpose of debate only.


                             General Leave

  Mr. GRIFFITH. Mr. Speaker, I ask unanimous consent that all Members

[[Page H5948]]

may have 5 legislative days in which to revise and extend their 
remarks.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentleman from Virginia?
  There was no objection.
  Mr. GRIFFITH. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, the Rules Committee met last night and reported out a 
rule providing for consideration of three measures: H.R. 6703, Lower 
Healthcare Premiums for All Americans Act; H.R. 498, Do No Harm in 
Medicaid Act; and H.R. 3492, Protect Children's Innocence Act.
  Mr. Speaker, House Resolution 953 provides for consideration of H.R. 
6703, the Lower Healthcare Premiums for All Americans Act, under a 
closed rule. The rule provides 1 hour of general debate, equally 
divided among and controlled by the respective chairs and ranking 
minority members of the Committees on Education and the Workforce, 
Energy and Commerce, and Ways and Means, or their respective designees, 
and one motion to recommit.
  The rule also provides for consideration of H.R. 498, the Do No Harm 
in Medicaid Act, under a closed rule with 1 hour of general debate, 
equally divided and controlled by the chair and ranking minority member 
of the Committee on Energy and Commerce, or their respective designees, 
and provides one motion to recommit.
  The rule further provides for consideration of H.R. 3492, the Protect 
Children's Innocence Act, under a structured rule with 1 hour of 
general debate, equally divided and controlled by the chair and ranking 
minority member of the Committee on the Judiciary, or their respective 
designees, and provides each one a motion to recommit.
  Finally, the rule provides that, during consideration of H.R. 4776, 
pursuant to House Resolution 951, the further amendment specified in 
section 5 of this resolution shall be considered as adopted.
  Mr. Speaker, this rule deals with several important bills that will 
lower healthcare costs for Americans and protect children. One of the 
bills, H.R. 3492, the Protect Children's Innocence Act, is led by the 
gentlewoman from Georgia (Ms. Greene).
  This bill prohibits genital and bodily mutilation and chemical 
castration for a minor, which generally is anyone under the age of 18 
years, while also preserving the exception for this care if there is a 
legitimate medical need for certain procedures.
  Another bill we are considering in this rule is H.R. 498, the Do No 
Harm in Medicaid Act, led by the gentleman from Texas (Mr. Crenshaw).
  This is a simple bill that prohibits Federal medical dollars to pay 
for gender transition procedures for individuals under the age of 18. 
The bill also includes protections for individuals if some of those 
treatments are medically necessary.
  These are important bills to ensure that Federal taxpayer dollars are 
not going toward a minor's gender transition surgery if it is not 
medically necessary. These bills also put guardrails in place so that 
minors cannot make permanent life-altering decisions before they are 18 
years of age.
  Finally, we are considering H.R. 6703, the Lower Healthcare Premiums 
for All Americans Act, led by the gentlewoman from Iowa (Mrs. Miller-
Meeks).
  This bill lowers premiums for Americans, creates more insurance 
options, brings greater transparency, and cuts red tape.
  Unlike our Democrat friends' plan, our Republican plan actually 
lowers premiums by double digits, roughly 11 percent, according to the 
data.
  All the Democrats want to do is throw billions more dollars toward 
insurance companies. Instead of attempting to lower the premiums of the 
individuals who are on the insurance plan that the Democrats created, 
which should be called the unaffordable care act, the Democrats have 
cried wolf that Republicans are responsible for premiums being 
unaffordable, but let's get the facts straight.
  Every single Democrat voted in support of the so-called Affordable 
Care Act. They claimed that people's premiums would be lowered; 
patients would have more choice; and if you like your doctor, you can 
keep him or her. However, just the opposite has happened. Their so-
called Affordable Care Act has caused premiums to skyrocket. Due to 
this, the Democrats are too afraid to own up to the fact that their 
health plan has failed to actually lower premiums.
  Instead, they have said to themselves: Hey, instead of acknowledging 
our failure, let's just blame the Republicans for that failure.
  Mr. Speaker, I distinctly remember a hearing before the Committee on 
Energy and Commerce, shortly after I was elected, where most of the 
witnesses said that the so-called Affordable Care Act was going to make 
insurance premiums go up for Americans.
  Mr. Speaker, that was over a decade ago, but the Democrats on the 
committee insisted that the witnesses were wrong and that Republicans 
were merely trying to scare the American people.
  Mr. Speaker, unfortunately for the American people, the witnesses 
were right. The so-called Affordable Care Act has, in fact, negatively 
impacted the price of health insurance in America. This plan, the so-
called Affordable Care Act, is a major reason that your insurance 
premiums have gone up and have done so repeatedly.
  When not blaming Republicans for the failures of this so-called 
Affordable Care Act, do you know what the Democrats' solution is? Folks 
watching this debate at home won't be surprised to know it. Democrats 
want to throw billions of additional dollars to healthcare insurance 
companies in an attempt to distract the American people from their own 
policy failures.
  I don't know if you all have been following the news closely, but the 
insurance companies that the Democrats want to give an additional $85 
billion to with their 3-year clean extension of the temporary COVID 
enhanced premium tax credits have not been knocking on the doors, Mr. 
Speaker, of the United States bankruptcy courts seeking protection or 
aid. In fact, they have been making record profits--record profits.


                                 (930)

  Further, we know these temporary COVID-enhanced premium tax credits 
have been riddled with waste, fraud, and abuse.
  The independent Government Accountability Office recently came out 
with a preliminary report that showed one Social Security number was 
used to receive over 125 different insurance policies in 2023 alone. 
That is fraud.
  There is also a huge amount of waste. Mr. Speaker, my estimate, based 
on data that I have seen, is that roughly 20 percent of enrollees in 
the temporary COVID-enhanced premium tax credits don't really exist. 
They are shadow enrollees.
  Let me explain. In most healthcare insurance plans, they generally 
have about 15 percent of the enrollees who make no claims in a given 
year. In the arena of the temporary COVID-enhanced premium tax credits, 
that number for those particular policies that have no claims is closer 
to 35 percent. There is no reasonable explanation, Mr. Speaker, other 
than those extra 20 percent of people not making claims don't really 
exist. Now, I call this waste and not fraud, and that is because I 
actually believe the insurance companies don't know which enrollees are 
shadow enrollees.
  How does this happen? It is a glitch in the way the bill was written 
originally. People move around. If an individual signed up for a 
program in north Florida to receive the enhanced premium tax credit and 
then moved to south Georgia, or even to another city in Florida, and 
signed up again, thinking, ``Well, I have moved, so I probably need a 
different plan,'' the consumer has a right to believe that somebody at 
their new plan or new company will notify the old carrier that they 
have switched policies.
  The way the program was designed by our friends on the other side of 
the aisle, that never happens, and because an individual is 
automatically reenrolled each year, this can go on for years. Thus, 
over time, it builds up to that 20 percent of shadow enrollees.
  We cannot, in good conscience, in defense of the American taxpayers' 
money, just cleanly extend these temporary COVID-enhanced premium tax 
credits without addressing the realities behind the waste, the fraud, 
and the abuse that is occurring in this program.
  I also find it interesting that the Democrats voted twice to extend 
these temporary enhanced premium tax credits but specifically did not 
make these

[[Page H5949]]

premium tax credits permanent. They didn't do it. They had many 
opportunities to make these permanent if they wanted to do that as much 
as they say today, but they didn't. They had many opportunities to make 
these permanent if the enhanced premium tax credits were as imperative 
to make the system work as they will claim here on the floor today, and 
have been for several weeks, but they didn't do it.
  Whose fault is that? Logic would tell us it is the Democrats' fault, 
but when it comes to healthcare, the Democrats are never willing to 
admit their policies failed. What do they do? Blame Republicans.
  In the Inflation Reduction Act, Mr. Speaker, the Democrats 
prioritized giving out around $1 trillion to Green New Deal initiatives 
instead of making their temporary premium tax credit program permanent.
  The fact is, even they couldn't find the votes when they had control 
of both Houses and the White House to make the enhanced premium tax 
credits permanent. Now, they are demanding Republicans do what they 
could not do and clean up their mess, which was an add-on to the so-
called Affordable Care Act.
  I can't make that make sense, and, Mr. Speaker, I bet you can't 
either.
  What are they asking for now? You guessed it: another temporary 
extension that fails to address the underlying causes of the 
skyrocketing costs; doesn't deal with the waste, fraud, and abuse; and 
worsens healthcare access caused by their so-called Affordable Care 
Act. Instead, they just want to blame Republicans, use it as a 
political issue, and give more money to insurance companies making 
enormous profits.
  What the Republicans have drafted is a plan to address health issues 
across the board for our people and for our Nation. This bill brings 
more transparency on the pharmacy benefit manager middlemen, better 
known as PBMs, for employers. For too long, PBMs have gotten away with 
operating in a black box and causing drug prices to rise. We are 
bringing transparency into the commercial market for PBMs under this 
bill.
  The bill also expands access to association health plans, which allow 
small businesses and self-employed workers to band together and 
purchase health insurance. One of the biggest complaints we hear from 
businesses, especially small businesses, is the rising costs of 
premiums that they have.
  In fact, Mr. Speaker, Virginia tried to create these plans, and CMS 
told them they couldn't do it, that they would penalize them. The 
Virginia Association of Realtors--let's see if I got the name right--in 
an article from 2023, the leader said that they would create a plan for 
7,000 association members who were uninsured because they don't make 
enough money to afford the Federal marketplace coverage--that would be 
the so-called Affordable Care Act--or to qualify for subsidies in the 
small group and individual plans.
  These small businesses don't have the bargaining power that larger 
businesses do to help lower their premiums. Allowing these small 
businesses to join together and have more bargaining power will help 
lower their health insurance costs.
  Another part of the plan codifies a 2019 Trump administration rule 
that allows employers to give tax-advantaged dollars to their 
employees, who can then use those dollars to purchase health insurance 
and for other medical costs. When businesses are planning their 
financial future, unpredictable health insurance costs and rising 
premiums make it almost financially unviable in some cases. Allowing 
businesses to have this option brings them more certainty and will give 
power to their employees to choose a plan that is best for them.
  Another flexibility we grant under this bill is by exempting stop-
loss insurance from the definition of health insurance coverage. Stop-
loss coverage is a type of coverage an employer can purchase to protect 
themselves from unexpected catastrophic health claims if that employer 
has chosen to self-insure their employees' healthcare. This allows an 
employer to limit the financial risk imposed on them if an employee, or 
a few of them, have unusually high medical claims that exceed the 
budgeted amount. Some States have attempted to restrict or prohibit 
these plans, which makes a self-insured option less attractive.

  This bill clarifies that this type of coverage is exempted from the 
definition of health insurance coverage, which means that these States 
would be limited in how they can regulate stop-loss coverage while 
still having to follow the regulations of ERISA.
  On top of all of this, I would reiterate that the bill lowers 
premiums of individuals who are enrolled in the so-called Affordable 
Care Act plans by roughly 11 percent. It does this by appropriating 
dollars for cost-sharing reductions. This will stop the practice of 
silver loading by putting dollars toward lowering beneficiaries' out-
of-pocket costs, which in turn lowers premiums for Americans who are on 
the so-called Affordable Care Act, again, by roughly 11 percent.
  Today, Mr. Speaker, you will hear my friends and colleagues on the 
other side, the Democrats, tell you this plan is not meaningful and 
that the only way to help individuals is to throw more money at big 
insurance. Throwing more money at the insurance companies, Mr. Speaker, 
is not the answer.
  Mr. Speaker, I reserve the balance of my time.
  Mr. McGOVERN. Mr. Speaker, I thank the gentleman from Virginia for 
yielding the customary 30 minutes, and I yield myself such time as I 
may consume.
  Mr. Speaker, we heard a lot of words from the gentleman from 
Virginia, but the reality is that some people's premiums are going up 
100 percent. Their big, grand plan is to give people an 11 percent 
coupon. This is laughable. It is pathetic.
  Mr. Speaker, here we are, likely one of the very last floor debates 
of the year, and Republicans have decided to use it to eliminate 
healthcare for millions of Americans, not by accident, but because they 
simply don't care, because they are clueless. They are incompetent, and 
they are unbelievably out of touch.
  This Republican majority has done nothing for working people, nothing 
to lower costs, nothing to make life more affordable, but, boy, have 
they delivered for billionaires, corporations, and special interests.
  They have spent an entire year screwing over the people they 
represent. They are betraying the voters who sent them here.

                              {time}  0940

  They are pretending like Trump's economy is great, even though they 
know it sucks. They have showered tax breaks on the ultrarich. They 
have bent the knee to Big Oil, Big Pharma, and Big Tech. They have 
handed the Pentagon billions it didn't even ask for, and now they have 
the nerve to tell working families: Sorry, no money for your 
healthcare; can't do a thing.
  I mean, really? Give me a freaking break.
  The American people are begging for action on affordability. They are 
begging for action to lower the cost of healthcare. What more do they 
need to do to get Republicans to take action?
  Premiums are about to double, triple, and in some cases, quadruple. 
Families could see their premiums increase as much as $1,000 a month.
  Open enrollment deadlines have already passed. Parents have sat at 
their kitchen tables and realized that between rent, groceries, 
childcare, and Trump's tariffs driving up the cost of damn near 
everything, health insurance is something they could no longer afford.
  Instead of a plan on healthcare, last night in the Rules Committee, I 
heard one Republican excuse after another about why they can't extend 
these tax credits that help people get insurance coverage.
  You guys have been in charge of this place for 3 years, for God's 
sake. Donald Trump has been President or running for President for like 
a decade. Where the hell is the Republican plan on healthcare? Where is 
it?
  Republicans keep blaming the ACA. They have spent years and years 
trying to repeal it, but they haven't repealed it yet because they have 
no replacement, no alternative.
  Mr. Speaker, one of your own Republican Members called this entire 
charade political malpractice. He was right.
  Meanwhile, Democrats have been trying for months to avert this 
crisis.

[[Page H5950]]

Governors, doctors, and patients have been sounding the alarm. Instead 
of working with us, they decided to shut down the government. Instead 
of trying to partner with us, Donald Trump is calling affordability a 
con job. That is unbelievable and so out of touch with reality.
  Now, Republicans have slapped together this pathetic bill to provide 
cover, a bill that is not worth the paper it is printed on, a bill that 
actually kicks people off of coverage and fails to extend the tax 
credits that keep healthcare affordable for over 20 million Americans.
  I mean, come on. Get real.
  Just to make sure that we all know that they aren't serious, 
Republicans included a poison pill which brings us closer and closer to 
a nationwide abortion ban. They are going after abortion even in States 
where it is legal.
  I mean, who the hell asked for this? This is like a plot of ``The 
Handmaid's Tale.''
  Despite Republicans' endless attempts to undermine the ACA, it is 
popular because it works. After Democrats strengthened people's ability 
to pay for healthcare by plussing up the premium tax credits, 
enrollment more than doubled from around 11 million to over 24 million 
Americans with real health insurance.
  Eighty-eight percent of that growth happened in States that Donald 
Trump won in 2024, by the way. So by choosing to not extend these 
credits, Republicans are simply hurting their own constituents, hurting 
the people who trusted them, and hurting the people who voted for them.
  More than 20 million Americans will see their healthcare costs 
explode on January 1. Instead of a fix, we get a stupid, pathetic, 
last-minute bill designed to let Republicans cover their ass before 
they flee town for the holidays.
  What a lousy, rotten, pathetic thing to do. This is a terrible bill 
that screws over millions of American families. I urge every Member of 
this House to vote ``hell, no'' on this Republican rule.
  Mr. Speaker, I reserve the balance of my time.
  Mr. GRIFFITH. Mr. Speaker, I yield 1\1/2\ minutes to the gentlewoman 
from Georgia (Ms. Greene).
  Ms. GREENE of Georgia. Mr. Speaker, I am here this morning to urge my 
colleagues to support the rule which includes H.R. 3492, the Protect 
Children's Innocence Act.
  My bill criminalizes the genital mutilation, such as this young lady 
right here, and chemical castration of children, imprisoning offenders 
for up to 10 years.
  For far too long, children have been sexually exploited under the 
malicious falsehood of so-called gender-affirming care.
  Mutilating children's bodies and giving them sterilizing drugs is 
anything but affirming and anything but care, especially given the fact 
that this is happening in too many cases before these kids are ever old 
enough to legally vote, legally get a tattoo, ink printed on their own 
bodies, and make real adult decisions.
  The same drug that has been used to chemically castrate sex offenders 
has been given to children who have been manipulated into thinking they 
were born in the wrong body.
  Everyone knows that children many times are confused about who they 
want to be when they grow up or about their identity. The children are 
not to blame. It is our job as adults to protect these kids and allow 
them to grow up safely and healthy and not make decisions that last a 
lifetime, such as this right here that happened to this teenage girl.
  Mr. Speaker, I urge my colleagues to vote ``yes'' to the rule, and I 
urge my colleagues to do the most responsible thing any adult can do 
for a child and protect them while they grow up.
  Mr. McGOVERN. Mr. Speaker, I yield myself such time as I may consume.
  The gentleman from Virginia keeps saying that if we really supported 
premium tax credits that we would have made them permanent.
  I think we all know that is kind of ridiculous because I want to 
point out that their number one floor protocol requires that programs 
end or sunset by a certain date. I mean, it was part of their 
ridiculous Pledge to America. I mean, maybe they don't believe all of 
the garbage that they put out there, but that is their protocol.
  Mr. Speaker, I yield 2 minutes to the gentleman from Texas (Mr. 
Doggett).
  Mr. DOGGETT. Mr. Speaker, in a bill that they call ``big'' and 
``beautiful,'' Republicans have approved the biggest reduction in 
access to healthcare in American history. They rejected my amendment in 
committee to maintain the tax credits that make the Affordable Care Act 
truly affordable.
  Now, after shutting down the government for weeks, delaying further 
weeks, they offer this sorry bill, this loser, wrapped up in a bow for 
Christmas.
  To Andrew and his family down in Austin, this phony bill means zero 
relief on premiums, premiums that are going to spike for his family by 
nearly $2,000 per month. It means nothing for Russell, a prostate 
cancer survivor just 2 years away from Medicare, wondering how he will 
afford the screenings and any necessary care.
  For a mother in Austin, who contacted me about the stop-loss 
provision that is reinforced in this bill, it means the possibility 
that after her 3-year-old child was diagnosed with cancer, they will 
lose all their coverage.
  These are real-life stories from my neighbors who have been forgotten 
by Republicans in their rush to provide more tax benefits for their 
billionaire buddies. They forget the struggles of so many working 
Americans.
  Republicans have made over 70 attempts to destroy the Affordable Care 
Act, which they all opposed. They peddled junk insurance policies that 
would deny essential consumer protection benefits under the Affordable 
Care Act.
  They could even make matters worse with one provision in this bill 
that will allow the reinstituting of preexisting conditions that were 
used to bar coverage for so many people before the Affordable Care Act.
  This is their commitment to deny healthcare, to provide no relief on 
premiums that are soaring. In short, it means replacing ObamaCare with 
nothingcare.
  Mr. GRIFFITH. Mr. Speaker, I yield myself such time as I may consume.
  It gets curiouser and curiouser.
  The gentleman from Massachusetts referenced that our protocol is to 
have sunsets, but when my colleagues on the other side of the aisle had 
the opportunity to make permanent the premium enhanced tax credits, we 
didn't control the floor. They controlled the floor.
  They don't have that protocol, as I understand it. They don't have 
that protocol that they put sunsets on things. They could have and did 
make other programs in the Green New Deal permanent. They could have 
made it permanent; they chose not to. They had the Senate, the House, 
and the Presidency.
  It is not House Republican protocol that stopped them. It was a lack 
of votes or will. If the program is so imperative today, why wasn't it 
imperative for them 3 years ago?

                              {time}  0950

  I submit this is a paper tiger and that there is no substance in 
their arguments or, if some substance, just a small amount.
  Mr. Speaker, they had the chance. They had the power, and they didn't 
use it to do what they want us to do today to fix their problems with 
their so-called Affordable Care Act.
  Mr. Speaker, I reserve the balance of my time.
  Mr. McGOVERN. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, I merely point out Republican hypocrisy which we deal 
with every single day, and we want to have a vote on extending the tax 
credits, but Republicans denied that in the Rules Committee.
  Republicans could be bringing up a bill to make the enhanced premium 
tax credits permanent, but they are not. Instead, what they did is they 
brought a bill to the floor to make tax cuts for multimillionaires and 
billionaires permanent. Every millionaire in this country is going to 
get an $80,000 tax break. That is where their priorities are. Every 
millionaire will get an $80 million tax credit, and the 25 million 
people in this country who are relying on enhanced tax credits so they 
won't lose their health insurance, they are basically saying to them: 
To hell with you.
  That is where their priorities are.

[[Page H5951]]

  We don't share the same values when it comes to making sure the 
people in this country have healthcare that is affordable and that is 
quality. That is the difference. That is the difference.
  We are here today to fight to make sure that we have a vote to extend 
these tax credits so that people do not lose their health insurance and 
people do not see their healthcare premiums explode.
  Mr. Speaker, I yield 2 minutes to the gentlewoman from Ohio (Mrs. 
Sykes).
  Mrs. SYKES. Mr. Speaker, today I rise in support of my proposed 
amendment to H.R. 6703 and in opposition to the underlying bill.
  In 2 weeks, 22 million Americans will see their healthcare premiums 
double, triple, or quadruple, costing them hundreds of additional 
dollars a month, and more than 4 million Americans will lose their 
coverage entirely. This includes 12,300 Ohioans in my district alone.
  This Republican healthcare crisis is completely and entirely 
preventable, and House Democrats and even a few Republicans have a 
solution: Extend the Affordable Care Act enhanced premium tax credits.
  Mr. Speaker, what do House Republicans propose instead?
  It is a collection of failed policies that would raise prices, 
leaving an additional 100,000 people without insurance and restricting 
access to abortion care, setting the stage for a national abortion ban.
  However, I believe it is my job to offer solutions to help the 
American people and, specifically, my constituents in Ohio. That is why 
I proposed an amendment to remove the section responsible for 
increasing costs and limiting access to reproductive healthcare.
  Right now, any and all abortion coverage provided under marketplace 
plans are not paid for by Federal dollars. However, this bill would 
impose unprecedented restrictions on private dollars and is yet another 
Republican attempt to ban reproductive healthcare coverage across this 
country.
  It is unacceptable that Congress is about to head home having done 
nothing--nothing--to protect the millions of Americans who will lose 
coverage on January 1.
  I have heard heartbreaking stories from my constituents who have no 
clue how they are going to make ends meet as we enter into what should 
be a merry holiday season.
  Mr. Speaker, I had a professor in college who was very clear in 
calling us out when we were unprepared when we showed up for our class. 
He would call us derelict, negligent, and trifling.
  This Congress, Mr. Speaker, is derelict, negligent, and trifling for 
failing to ensure that Americans have healthcare coverage and we are 
actually lowering their costs.
  Mr. Speaker, this bill is deceptive at best and cruel at worst. I 
urge my colleagues to extend the enhanced tax credits before it is too 
late.
  Mr. GRIFFITH. Mr. Speaker, I reserve the balance of my time.
  Mr. McGOVERN. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, Republicans keep talking about how Democrats want to 
give more money to insurance companies, which is absolutely absurd, and 
they all know that. Nothing could be more ridiculous.
  Let me correct the record. First of all, ACA tax credits go to our 
constituents to help them pay for healthcare. Second, it was the 
Affordable Care Act, you know the bill that the gentleman and a lot of 
Republicans want to repeal, which mandated that greedy insurance 
companies have to spend 80 percent to 85 percent of premiums on medical 
care. It is called the medical loss ratio. The gentleman should look it 
up. It is in the Affordable Care Act.
  When he is talking about repealing the ACA, he is the one who wants 
to overturn that provision and let insurance companies rip people off 
even more than they already do.
  Let me make one last point. We could easily move away from health 
insurance companies ripping people off. We could do what the vast 
majority of developed nations do and move toward a public option so 
that people don't have to choose a private health insurance company. 
But to say the Democrats are the ones who want to enrich insurance 
companies is absurd.
  Mr. Speaker, Republicans support big banks. They support Big Tech. 
They support billionaires, and they support tax breaks for huge, greedy 
corporations. And they accuse Democrats of being in the pocket of the 
insurance industry?
  Give me a break. Nobody believes this BS.
  Mr. Speaker, look at your big, ugly bill. Look at all the tax breaks 
that go to millionaires and billionaires and big corporations. Every 
millionaire, as I stated before, because of Republicans, are getting an 
$80,000 tax break, every millionaire in this country.
  What we are saying here is we want to make sure that health insurance 
is affordable for every single person in this country, and Republicans 
are replying by: We can't be bothered with that. That is not where our 
priorities are.
  Maybe they don't write big enough checks for their campaigns.
  The bottom line is that we are here arguing that people in this 
country shouldn't lose their healthcare because they can't afford it. 
We could do something right this instant to fix that. Republicans are 
blocking every attempt, and they are bringing this crappy bill to the 
floor that didn't even go through regular order and it didn't go 
through committee. They just patched it together and brought it before 
the Rules Committee.
  By the way, CBO says that their terrible bill that they are bringing 
to the floor will throw another 100,000 people off of health insurance. 
By just passing this bill, 100,000 additional people will lose their 
health insurance. This is ridiculous.
  Mr. Speaker, I reserve the balance of my time.
  Mr. GRIFFITH. Mr. Speaker, I yield 6 minutes to the gentlewoman from 
North Carolina (Ms. Foxx) who is the chairwoman of the Rules Committee.
  Ms. FOXX. Mr. Speaker, I thank the vice chair of the committee for 
yielding.
  Mr. Speaker, the unaffordable care act was born as a lie and 
continues to be promoted in terms that are lies.
  Mr. Speaker, do you remember these promises?
  If you like your doctor, you can keep your doctor. If you like your 
health insurance, you can keep your insurance. Americans will save over 
$2,500 per year.
  All of those were lies, and now those who continue to support the 
unaffordable care act are misleading Americans about its current 
situation.
  When the law was first debated, Democrats insisted that only 50 
million Americans couldn't afford health insurance. That was exposed as 
a lie. Many Americans proved simply to be forgoing insurance in many 
instances. Democrats used this as an excuse to rewrite the entire 
framework of the individual healthcare insurance marketplace, forcing 
people onto plans that had their premiums rise by 129 percent since 
2014. Indeed, the very first year ObamaCare went into effect, premiums 
skyrocketed by 47 percent. This is the true record of the unaffordable 
care act.
  Despite the lies that continue to be told in the media to this day, 
Republicans have always proposed alternatives to the failed 
unaffordable care act framework that Democrats continue to force onto 
Americans. We are doing it again with this bill.
  Instead of simply enabling the current fraud, waste, and abuse 
exposed in the unaffordable care act subsidy scheme that Democrats are 
addicted to, we are offering transformative policies that will root out 
hidden costs, attack inflationary programs, and increase competition 
throughout the entire healthcare insurance marketplace, lowering 
premiums for all Americans.
  However, Mr. Speaker, even when all the evidence is presented to them 
on how rancid of a healthcare scheme the unaffordable care act really 
is, Democrats leap to their feet and become entirely apoplectic. They 
do not tell the truth about the current situation or what we are doing.

                              {time}  1000

  This is why: They fused themselves to the unaffordable care act to 
such a point that they outright refuse to seek reasonable reforms that 
help Americans afford healthcare. They won't do it.
  Look at how they have superglued themselves to their temporary COVID 
subsidies that they themselves concocted and stamped an end date on, as 
my colleague has said.

[[Page H5952]]

  I suppose all they know how to do is prop up a failed program that is 
littered with waste, fraud, and abuse, like cancerous lesions.
  Don't take my word for it. Just look at the GAO report: Its estimates 
show millions of improper enrollments, costing American taxpayers up to 
$27 billion annually. One Social Security number used for 26,000 days 
of coverage, and more than 58,000 deceased people receiving tax 
credits.
  All in all, it is a massive, fraudulent boondoggle for the American 
people. Meanwhile, Republicans remain committed to rooting out waste, 
fraud, and abuse in all corners of the Federal Government.
  The CBO already confirmed that our efforts to root out waste, fraud, 
and abuse in the unaffordable care act, by way of H.R. 1, lowered 
healthcare premiums for enrollees. Imagine that, attacking waste and 
fraud lowers costs. Yet, Democrats want to embrace the opposite and 
cement a system of inflation.
  Here is the kicker, Mr. Speaker: Only 7 percent of Americans enrolled 
in an unaffordable care act plan would see a paltry 4 percent decrease 
in their premiums if these subsidies were extended.
  Republicans are advancing real reforms in healthcare. Unlike 
Democrats, we are not attempting to place a Band-Aid on a ruptured 
artery and call it a day.
  Mr. Speaker, the Lower Health Care Premiums for All Americans Act is 
our solution. It is the solution that the American people deserve.
  It would lower healthcare premiums by 11 percent for all Americans, 
increase healthcare access, expand choice in healthcare, and bring 
about greater transparency to the healthcare system in the United 
States.
  Republicans are offering a clear, responsible, and straightforward 
solution so that all Americans have access to healthcare that is 
affordable and meets their respective needs.
  If our colleagues were serious about making healthcare more 
affordable for Americans, they would support this bill alongside 
Republicans. Let's see what they choose to do.
  Mr. McGOVERN. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, the gentlewoman, the chairwoman of the Rules Committee, 
knows I have great affection for her, but I just want to correct 
something. She says that the Republicans have always had a plan to deal 
with healthcare and to lower costs for people, but the truth is they 
have always said they have a plan, but they have never had a plan.
  Let me just go through a list of things here.
  In February 2016, then-Presidential candidate Donald Trump said: ``We 
are going to replace ObamaCare with something so much better.'' Nothing 
followed.
  On February 27, 2017, the President said: ``We have a really 
terrific, I believe, healthcare plan coming out.'' Never did.
  May 10, 2018, Donald Trump said: ``But wait until you see the plans 
that we have coming out literally over the next 4 weeks. We have great 
healthcare plans coming out.'' Nothing happened.
  At a press gaggle near Air Force One in May 2019, he said: ``We are 
coming up with a great healthcare plan. We are going to have fantastic 
healthcare, and the plan is coming out over the next 4 weeks.'' Nothing 
ever materialized.
  June 16, 2019, the President said: ``We are going to produce 
phenomenal healthcare, and we already have the concept of a plan, and 
it will be so much better healthcare. Yeah, well, we will be announcing 
it in about 2 months, maybe less.'' Nothing happened.
  In a FOX News interview, the President said: ``We are signing a 
healthcare plan within 2 weeks, a full and complete healthcare plan.'' 
Nothing happened.
  July 2020, the President said: ``Well, we are going to be doing a 
healthcare plan. We are going to be doing a very inclusive healthcare 
plan. I will be signing it sometime very soon. It might be--it might be 
Sunday, but it is going to be very soon.'' Nothing happened.
  August 3, 2020, the President said: ``We are going to be introducing 
a tremendous healthcare plan sometime prior--hopefully, prior to the 
end of the month. It is just about completed now.'' Nothing.
  September 15, 2020, the President says: ``You are going to have new 
healthcare. We have other alternatives to ObamaCare that are 50 percent 
less expensive, and they are actually better.'' Nothing. It never 
happened.
  September 10, 2024, ABC News Presidential debate, he says: ``I have 
concepts of a plan. . . . You will be hearing about it in the not-too-
distant future.'' Nothing happened.
  December 8, 2024, he said: ``Yes, we have concepts of a plan that 
would be better. You will see it very soon.'' It produced nothing.
  In May 2025, at a White House event, he said: ``So we are going to 
maybe come up with something. I think this gives the Republicans a 
chance to actually do a healthcare that is much better than 
ObamaCare.'' Nothing.
  People are sick and tired of the empty rhetoric. They are sick and 
tired of Republicans saying they have a plan, and they never produce 
one. All they want to do is undermine healthcare for hardworking, 
average Americans.
  Mr. Speaker, I yield 2 minutes to the gentlewoman from California 
(Ms. Rivas).
  Ms. RIVAS. Mr. Speaker, I thank the ranking member for yielding to 
me.
  Republicans have been in the majority and in control for this whole 
year, yet they have not put forward a bill that helps working families 
with the rising cost of living or to prevent hardworking Americans' 
healthcare premiums from skyrocketing in price.
  Republicans drove the country into a healthcare crisis, and they 
continue to have no pathway to get us out of it.

  With healthcare premiums set to skyrocket at the end of December, 
Republicans' solution is an unserious proposal that kicks millions of 
Americans off their coverage, puts healthcare out of reach, and takes 
away women's freedom to make their own healthcare decisions.
  Under Republicans' concept of a healthcare plan, working Americans 
will be forced to make tough decisions, such as if they should take 
their child to the doctor or buy groceries for the week. Republicans' 
concept of a healthcare plan means bankruptcy will be one medical 
emergency away for millions of Americans.
  If Republicans were serious about helping their constituents and 
addressing the healthcare crisis that they manufactured with the big, 
ugly bill, they would join Democrats and vote to extend the ACA tax 
credits for 3 years. We only need one more Republican to sign, one more 
to help American families afford healthcare.
  I will vote ``no'' on this rule and the underlying bill to protect my 
over 31,000 constituents who rely on these ACA tax credits to make 
their healthcare affordable. I encourage my colleagues to do the same.
  Mr. GRIFFITH. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, my colleagues on the other side continually say that we 
haven't done anything. We just received a message from the Senate on a 
Republican bill that does something. Now, they may not like it, but I 
find it fascinating. These debates are always so interesting, Mr. 
Speaker.
  They say we haven't put forward anything at some points, and at other 
points in their debate, they claim that this bill is terrible, that it 
does nothing.
  Let me remind you, Mr. Speaker, that a part of this bill revives a 
Democratic plan that was supposed to be short term called cost-sharing 
reductions. It is fascinating because during the first Trump 
administration, in May 2017, my Democratic colleagues--and I know some 
of them weren't here yet--but 196 of them, including the gentleman from 
Massachusetts, signed a letter asking--because it was not codified--
President Trump to use his executive power to continue the cost-sharing 
reduction plan.

                              {time}  1010

  Mr. Speaker, I would love to hear from my colleagues why cost-sharing 
reduction by them was considered to be so important to be continued to 
help 7 million hardworking Americans and their families, more than 
half--I am reading from their letter--of all marketplace enrollees for 
2017 afford their out-of-pocket healthcare costs. That is what cost-
sharing reduction does.
  Today, they claim, as a part of our bill, it is nothing. It is 
worthless. It is

[[Page H5953]]

not worth the paper it is written on, but in 2017, 196 of them, 
including the gentleman from Massachusetts, asked the President of the 
United States to continue the program.
  Today, we are answering that call, saying we will answer that and put 
it in our bill, but because it is now proposed as part of a Republican 
bill, my colleagues, for some reason, don't remember their position in 
2017 and call it trash.
  Could it be mere political posturing for November elections? I submit 
it is.
  Mr. Speaker, I reserve the balance of my time.
  Mr. McGOVERN. Mr. Speaker, I yield myself such time as I may consume.
  Mr. Speaker, if we defeat the previous question, I will offer an 
amendment to the rule to provide for consideration of H.R. 6074, which 
would extend the Affordable Care Act enhanced premium tax credits for 3 
years, through 2028.
  Mr. Speaker, this is it. This is the one last chance this year, this 
session, for this Republican majority to do the right thing and vote to 
extend the ACA enhanced premium tax credits.
  If Republicans allow them to expire, millions of Americans, millions 
of their constituents, will be faced with rising health insurance costs 
and, in some cases, by more than $1,000 per month.
  Mr. Speaker, I have an important announcement to make, and if there 
is anybody in the press gallery listening, I want them to hear this. I 
have called on Republicans to put country over politics, put country 
over their party, to do the right thing for their constituents. We have 
a discharge petition that 214 Democrats have signed on to, to force a 
bill on a 3-year clean extension. While we have been debating, four 
Republicans have actually done that.
  We are now at 218. What that means is that it sets in place a process 
that will allow us to vote on a clean extension. We have 218 people who 
will vote for it, which means we will pass it.
  Unfortunately, the procedures on a discharge petition mean that we 
can't get to it until we come back from our holiday break in January, 
but we don't need to wait for the discharge petition to ripen. We can 
actually act today if we want to preserve the tax credits for 20 
million working-class Americans that rely on them.
  Democrats in this House and in the Senate have acted like adults 
during our entire monthslong effort to get Republicans to do the right 
thing. I thank those Republicans who signed the discharge petition 
because that is actually going to make sure that we have a vote and 
that we can extend these tax benefits.
  Again, we can kind of short-circuit the process. If we defeat the 
previous question, we could vote on it today. We are offering this to 
be able to bring it up immediately.
  Mr. Speaker, I ask unanimous consent to insert the text of my 
amendment into the Record, along with any extraneous material, 
immediately prior to the vote on the previous question.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentleman from Massachusetts?
  There was no objection.
  Mr. McGOVERN. Mr. Speaker, I yield to the gentleman from Texas (Mr. 
Doggett) for the purpose of a colloquy.
  Mr. DOGGETT. While we are thankful for this belated decision of four 
Republicans here at the last minute to join the discharge petition, 
unless they join us in voting in favor of this action on the previous 
question, there is nothing that can be done this year because the 
Speaker will continue to obstruct premium relief for Americans.
  Mr. McGOVERN. That is correct. We do thank these Republicans for 
getting us to 218, but we hope they would join us.
  Mr. DOGGETT. This would be the key vote?
  Mr. McGOVERN. This would be the key vote.
  Mr. Speaker, I yield 3 minutes to the gentlewoman from Connecticut 
(Mrs. Hayes) to discuss our proposal.
  Mrs. HAYES. Mr. Speaker, I rise to defeat the previous question and 
bring up H.R. 6074, which provides for a clean 3-year extension of the 
Affordable Care Act enhanced tax credits.
  Congress has 3 legislative days left to extend the ACA tax credits, 
or they will expire at the end of the year. The impact of the tax 
credits expiring is devastating. Expiration of the tax credits will 
result in health premiums increasing by an average of 114 percent for 
individuals who rely on the marketplace, forcing 4.2 million people to 
lose their health insurance.
  I hear the fear in the voices of my constituents, Republicans and 
Democrats, and Americans across the country who talk about healthcare 
and the looming crisis. Small business owners, independent contractors, 
retirees, farmers, and constituents in my district continue to call my 
office or stop me to share how they will be unable to afford healthcare 
as they continue to experience rising costs for essentials like 
groceries, insurance, utilities, and housing.
  If Republicans can find a way to provide tax cuts for billionaires, 
Congress can find a way to provide relief for individuals to access 
healthcare. As I have said, we are under the pressure of time. We have 
a discharge petition, but that will take 7 days for a ripening through 
the House procedures. What we can do today is vote to defeat this 
previous question.
  Mr. Speaker, I thank the four Republicans who have joined us, but 
time is of the essence. They need to go one step further and vote to 
defeat the previous question, alongside Democrats, so that we can have 
a vote today in this House before we go on break.

  Congress must protect healthcare and lower the costs for all 
Americans by extending the ACA tax credits.
  As my colleague, Mr. McGovern, said, this isn't about Democrats. This 
is all of our constituents who benefit from the Affordable Care Act. 
This is all of our constituents who face rising deductibles and 
premiums. This is all of our constituents who fear that they will lose 
their healthcare. No reasonable proposal has been introduced. This is 
what we have today.
  Help us defeat the previous question.
  Mr. GRIFFITH. Mr. Speaker, I reserve the balance of my time.
  Mr. McGOVERN. Mr. Speaker, may I inquire as to the time remaining.
  The SPEAKER pro tempore. The gentleman from Massachusetts has 5\1/2\ 
minutes remaining. The gentleman from Virginia has 4\1/2\ minutes 
remaining.
  Mr. McGOVERN. Mr. Speaker, I yield myself 1 minute.
  Mr. Speaker, Republicans love to find ways to justify kicking 
millions of working people off of healthcare. The chairwoman of the 
Rules Committee talked about fraud. If fraud is your primary concern, 
how about you start with President Trump, who has pardoned or commuted 
not one, not two, but 12 people. He pardoned 12 people convicted of 
healthcare fraud. My Republican friends have been silent, not a word.
  One guy was convicted of $1.3 billion in a Medicare fraud scheme, the 
largest healthcare fraud scheme charged by the Department of Justice. 
We had another woman convicted of orchestrating $205 million in a 
Medicare fraud scheme involving assisted living facilities. We had 
another guy convicted of 67 counts of healthcare fraud and related 
charges relating to Medicare and other healthcare programs.
  I could go on and on, Mr. Speaker. I am not sure what they did to 
earn those pardons, but maybe they promised to say nice things about 
Trump.
  When Republicans come to the floor and talk about fraud, just 
remember that they are the ones who pardoned over and over and over 
again healthcare fraudsters while at the same time screwing over the 
American people by taking away their healthcare.
  Mr. Speaker, I reserve the balance of my time.
  Mr. GRIFFITH. Mr. Speaker, I am prepared to close, and I reserve the 
balance of my time.
  Mr. McGOVERN. Mr. Speaker, I yield myself the balance of my time.
  Mr. Speaker, let's be honest about what is happening here because 
this really is not that complicated, and the American people aren't 
stupid.
  This Republican bill does not fix the healthcare crisis facing this 
country. It doesn't even try. Instead, Republicans are going to raise 
costs, weaken coverage, and deliberately allow the Affordable Care Act 
tax credits to expire, knowing full well that millions of families will 
lose affordable coverage as a result.
  That outcome is not a side effect. It is the point. For more than a 
decade,

[[Page H5954]]

Republicans have promised a better healthcare system, a replacement for 
the ACA, something, anything that would justify taking coverage away 
from people who need it.
  Ten years later, there is still no plan, no replacement, no solution. 
Why? Because they are totally fine with a system of the haves and have-
nots. They want a system where those at the top have affordable care, 
and everyone else is left in the dust.

                              {time}  1020

  Mr. Speaker, Republicans have controlled the House of Representatives 
for 3 long years. During that time, the priorities of this majority 
have been crystal clear.
  When billionaires, CEOs, and corporate special interests need 
something, Republicans move with lightning speed. Loopholes appear out 
of nowhere. Regulations vanish into thin air while Big Oil, Big Tech, 
and big banks get what they want.
  Republicans have no problem handing out massive tax giveaways to 
donors who write big campaign checks. They have no problem padding the 
profits of greedy corporations. They have no problem voting to give the 
Pentagon $8 billion more than it even asked for without so much as a 
shrug.
  When it comes to working people, when they need affordable 
healthcare, suddenly the story changes. Suddenly, there is hand-
wringing. Suddenly, there is paralysis. Suddenly, the money is gone. 
Suddenly, America can't pay for it.
  If my friends on the other side of the aisle are okay with that, we 
do not share the same values. If they think it is fine to give handouts 
to billionaires, while stealing healthcare from regular people, we do 
not have the same moral compass.
  The bottom line is this country has a Republican Congress that works 
just fine for the rich and powerful, while telling everybody else to 
tighten their belts.
  There is always money for giveaways to CEOs and corporate stock 
buybacks. There is always money for billionaire tax shelters. When a 
working family needs help staying insured, Republicans say it is too 
expensive. This is a question of our priorities as a Nation.
  What makes this even more infuriating is that Democrats have already 
put forward a responsible and reasonable solution that would help stop 
this crisis in its tracks. We have 218 people who have signed this 
discharge petition. Mr. Speaker, four Republicans signed this discharge 
petition. I hope they will vote to bring this same bill up today.
  To the moderates who didn't get the opportunity to sign it, I say 
this. This is their chance to go on record and show their constituents 
that they are serious about getting this done. Imagine what that would 
mean. It would mean lower costs, stable coverage, and a Congress that 
proves it still answers to working families instead of to the 
billionaire class. Instead, we get this GOP inaction and incompetence.
  Mr. Speaker, at the end of the day, healthcare coverage should not 
depend on how much money someone makes. We live in the richest country 
on Earth. Healthcare should be a human right available to every person 
and every community without exception.
  The United States remains the only major developed Nation that does 
not guarantee healthcare for everyone. That is not because we can't 
afford it. It is because powerful interests make too much money from 
the status quo.
  To any Republican who knows this bill is wrong, who understands what 
this will do back home, and who still believes that this institution 
should work for the people it represents, this is the moment. Extend 
the tax credits. Protect the coverage of our constituents. Stand with 
us to say that it is time for Congress to put patients ahead of profits 
and working families ahead of billionaires.
  Mr. Speaker, I urge a ``no'' vote on this rule, and I yield back the 
balance of my time.
  Mr. GRIFFITH. Mr. Speaker, I yield myself the balance of my time.
  Mr. Speaker, the gentleman is absolutely correct on this one point. 
If what they want is socialized medicine, yes, I am against it and so 
are most of the Republicans in this House. We are not for socialized 
medicine.
  When I was a student, I remember being in Edinburgh in 1979. Mr. 
Finch across the hall with socialized medicine had to wait 10 months to 
get surgery for a blockage in his heart.
  When I came home, I discovered that in the United States it would 
have been 3 days before he would have had that surgery. He died a 
couple of years later because socialized medicine warehouses people 
until they have time to get to them. That is not what our system does 
nor should it.
  Further, I would say that the Democrats come here today, and it is 
their healthcare system. They created it. When they created the 
Affordable Care Act, there were no Republican votes. When they extended 
it or changed it a little bit and eventually renewed it again in the 
Inflation Reduction Act, there were no Republican votes for that.
  Today, they want to blame Republicans for their policy failures. The 
American people will eventually see through that. I know they have done 
a great job of convincing the American people that is the case, but it 
isn't true.
  They talk about the fact that, as costs are going up and they want 
this new plan to throw $85 billion at the insurance companies, 85 
percent has to be spent on healthcare. That is true.
  Mr. Speaker, 15 percent of $500 that the insurance companies get to 
put in their pockets is a whole lot less than 15 percent of $2,000. If 
we throw more money at the insurance companies, the big insurance 
executives get more money to put in their pockets. They are smiling 
like Cheshire cats as the costs go up and they pocket larger profits.
  Perhaps my Democratic colleagues don't want to admit it or don't 
realize that they are the front men for big insurance, but that is what 
they are. They are the front men for big insurance. Instead of facing 
reality, their answer is to blame the Republicans and throw more 
taxpayer money at the big insurance companies.
  Mr. Speaker, giving the insurance companies more money will not solve 
our healthcare problems.
  The material previously referred to by Mr. McGovern is as follows:

  An Amendment to H. Res. 953 Offered By Mr. McGovern of Massachusetts

       At the end of the resolution, add the following:
       Sec. 6. Immediately upon adoption of this resolution, the 
     House shall proceed to the consideration in the House of the 
     bill (H.R. 6074) to amend the Internal Revenue Code of 1986 
     to extend the enhancement of the health care premium tax 
     credit. All points of order against consideration of the bill 
     are waived. The bill shall be considered as read. All points 
     of order against provisions in the bill are waived. The 
     previous question shall be considered as ordered on the bill 
     and on any amendment thereto to final passage without 
     intervening motion except: (1) one hour of debate equally 
     divided and controlled by the chair and ranking minority 
     member of the Committee on Ways and Means or their respective 
     designees; and (2) one motion to recommit.
       Sec. 7. Clause 1(c) of the rule XIX shall not apply to the 
     consideration of H.R. 6074.

  Mr. GRIFFITH. Mr. Speaker, I yield back the balance of my time, and I 
move the previous question on the resolution.
  The SPEAKER pro tempore. The question is on ordering the previous 
question.
  The question was taken; and the Speaker pro tempore announced that 
the ayes appeared to have it.
  Mr. McGOVERN. Mr. Speaker, on that I demand the yeas and nays.
  The yeas and nays were ordered.
  The SPEAKER pro tempore. Pursuant to clause 9 of rule XX, the Chair 
will reduce to 5 minutes the minimum time for any electronic vote on 
the question of adoption of the resolution.
  The vote was taken by electronic device, and there were--yeas 204, 
nays 203, not voting 26, as follows:

                             [Roll No. 343]

                               YEAS--204

     Aderholt
     Alford
     Allen
     Amodei (NV)
     Babin
     Bacon
     Baird
     Balderson
     Barrett
     Bean (FL)
     Begich
     Bentz
     Bergman
     Bice
     Biggs (AZ)
     Biggs (SC)
     Bilirakis
     Boebert
     Bost
     Brecheen
     Bresnahan
     Buchanan
     Burchett
     Burlison
     Calvert
     Cammack
     Carey
     Carter (GA)
     Carter (TX)
     Ciscomani
     Cline
     Cloud
     Clyde
     Cole
     Collins
     Comer
     Crane
     Crank
     Crawford
     Davidson
     De La Cruz
     DesJarlais
     Donalds
     Downing
     Dunn (FL)
     Edwards
     Ellzey
     Emmer

[[Page H5955]]


     Estes
     Evans (CO)
     Ezell
     Fallon
     Fedorchak
     Fine
     Finstad
     Fischbach
     Fitzgerald
     Fleischmann
     Flood
     Fong
     Foxx
     Franklin, Scott
     Fry
     Fulcher
     Garbarino
     Gill (TX)
     Gimenez
     Goldman (TX)
     Gonzales, Tony
     Gooden
     Gosar
     Graves
     Greene (GA)
     Griffith
     Grothman
     Guest
     Guthrie
     Hageman
     Hamadeh (AZ)
     Haridopolos
     Harrigan
     Harris (MD)
     Harris (NC)
     Harshbarger
     Hern (OK)
     Higgins (LA)
     Hill (AR)
     Houchin
     Hudson
     Huizenga
     Hunt
     Hurd (CO)
     Issa
     Jack
     Jackson (TX)
     James
     Johnson (LA)
     Johnson (SD)
     Joyce (OH)
     Joyce (PA)
     Kean
     Kelly (MS)
     Kelly (PA)
     Kennedy (UT)
     Kiggans (VA)
     Kiley (CA)
     Kim
     Knott
     Kustoff
     LaHood
     LaLota
     LaMalfa
     Langworthy
     Latta
     Lawler
     Lee (FL)
     Letlow
     Loudermilk
     Lucas
     Luna
     Luttrell
     Mace
     Mackenzie
     Malliotakis
     Maloy
     Mann
     Massie
     Mast
     McCaul
     McClain
     McClintock
     McCormick
     McDowell
     McGuire
     Messmer
     Meuser
     Miller (IL)
     Miller (OH)
     Miller (WV)
     Mills
     Moolenaar
     Moore (AL)
     Moore (NC)
     Moore (UT)
     Moore (WV)
     Moran
     Newhouse
     Norman
     Obernolte
     Ogles
     Onder
     Owens
     Palmer
     Patronis
     Perry
     Pfluger
     Reschenthaler
     Rogers (AL)
     Rogers (KY)
     Rose
     Rouzer
     Roy
     Rulli
     Rutherford
     Salazar
     Scalise
     Schmidt
     Schweikert
     Scott, Austin
     Self
     Sessions
     Shreve
     Simpson
     Smith (MO)
     Smith (NE)
     Smith (NJ)
     Smucker
     Stauber
     Stefanik
     Steil
     Steube
     Strong
     Stutzman
     Taylor
     Tenney
     Thompson (PA)
     Tiffany
     Timmons
     Turner (OH)
     Van Drew
     Van Duyne
     Van Epps
     Van Orden
     Wagner
     Walberg
     Weber (TX)
     Webster (FL)
     Wied
     Williams (TX)
     Wilson (SC)
     Wittman
     Womack
     Yakym
     Zinke

                               NAYS--203

     Adams
     Aguilar
     Amo
     Ansari
     Auchincloss
     Balint
     Barragan
     Beatty
     Bell
     Bera
     Bishop
     Bonamici
     Boyle (PA)
     Brown
     Brownley
     Budzinski
     Bynum
     Carbajal
     Carson
     Carter (LA)
     Casar
     Case
     Casten
     Castor (FL)
     Castro (TX)
     Cherfilus-McCormick
     Chu
     Cisneros
     Clark (MA)
     Clarke (NY)
     Cleaver
     Clyburn
     Cohen
     Conaway
     Correa
     Costa
     Craig
     Crockett
     Crow
     Cuellar
     Davids (KS)
     Davis (IL)
     Davis (NC)
     Dean (PA)
     DeGette
     DeLauro
     DelBene
     Deluzio
     DeSaulnier
     Dexter
     Dingell
     Doggett
     Elfreth
     Escobar
     Evans (PA)
     Fields
     Figures
     Fletcher
     Foster
     Foushee
     Frankel, Lois
     Friedman
     Frost
     Garamendi
     Garcia (CA)
     Garcia (IL)
     Gillen
     Golden (ME)
     Gomez
     Gonzalez, V.
     Goodlander
     Gottheimer
     Gray
     Green, Al (TX)
     Grijalva
     Harder (CA)
     Hayes
     Himes
     Horsford
     Houlahan
     Hoyer
     Hoyle (OR)
     Huffman
     Ivey
     Jackson (IL)
     Jacobs
     Jayapal
     Jeffries
     Johnson (GA)
     Johnson (TX)
     Kamlager-Dove
     Kaptur
     Keating
     Kelly (IL)
     Kennedy (NY)
     Khanna
     Krishnamoorthi
     Landsman
     Larsen (WA)
     Larson (CT)
     Latimer
     Lee (NV)
     Lee (PA)
     Leger Fernandez
     Levin
     Liccardo
     Lieu
     Lofgren
     Lynch
     Magaziner
     Mannion
     Matsui
     McBride
     McClain Delaney
     McClellan
     McCollum
     McDonald Rivet
     McGarvey
     McGovern
     McIver
     Meeks
     Menendez
     Meng
     Mfume
     Min
     Morelle
     Morrison
     Moskowitz
     Moulton
     Mrvan
     Mullin
     Neal
     Neguse
     Norcross
     Ocasio-Cortez
     Olszewski
     Omar
     Pallone
     Panetta
     Pappas
     Pelosi
     Perez
     Peters
     Pettersen
     Pingree
     Pocan
     Pou
     Pressley
     Quigley
     Ramirez
     Randall
     Raskin
     Riley (NY)
     Rivas
     Ross
     Ryan
     Salinas
     Sanchez
     Scanlon
     Schakowsky
     Schneider
     Scholten
     Schrier
     Scott (VA)
     Scott, David
     Sewell
     Sherman
     Simon
     Smith (WA)
     Sorensen
     Soto
     Stansbury
     Stanton
     Stevens
     Strickland
     Subramanyam
     Suozzi
     Sykes
     Takano
     Thanedar
     Thompson (CA)
     Thompson (MS)
     Titus
     Tlaib
     Tokuda
     Tonko
     Torres (CA)
     Torres (NY)
     Trahan
     Tran
     Underwood
     Vargas
     Vasquez
     Veasey
     Velazquez
     Vindman
     Walkinshaw
     Wasserman Schultz
     Waters
     Watson Coleman
     Whitesides
     Williams (GA)
     Wilson (FL)

                             NOT VOTING--26

     Arrington
     Barr
     Baumgartner
     Beyer
     Courtney
     Crenshaw
     Diaz-Balart
     Espaillat
     Feenstra
     Fitzpatrick
     Garcia (TX)
     Goldman (NY)
     Hinson
     Jordan
     McBath
     Miller-Meeks
     Moore (WI)
     Murphy
     Nadler
     Nehls
     Nunn (IA)
     Ruiz
     Spartz
     Swalwell
     Valadao
     Westerman

                              {time}  1052

  Ms. DeGETTE and Mr. SCHNEIDER changed their vote from ``yea'' to 
``nay.''
  Mr. ZINKE changed his vote from ``nay'' to ``yea.''
  So the previous question was ordered.
  The result of the vote was announced as above recorded.
  Stated for:
  Mrs. SPARTZ. Mr. Speaker, had I been present, I would have voted YEA 
on Roll Call No. 343.
  Mr. FITZPATRICK. Mr. Speaker, had I been present, I would have voted 
YEA on Roll Call No. 343.
  Mrs. MILLER-MEEKS. Mr. Speaker, had I been present, I would have 
voted YEA on Roll Call No. 343.
  Stated against:
  Mr. GOLDMAN of New York. Mr. Speaker, I was unable to vote today 
because the vote was closed despite my being present in the well and 
attempting to vote. Had I been present, I would have voted NAY on Roll 
Call No. 343.
  Mr. RUIZ. Mr. Speaker, had I been present, I would have voted NAY on 
Roll Call No. 343.
  The SPEAKER pro tempore (Mr. Moore of West Virginia). The question is 
on the resolution.
  The question was taken; and the Speaker pro tempore announced that 
the ayes appeared to have it.


                             Recorded Vote

  Mr. McGOVERN. Mr. Speaker, I demand a recorded vote.
  A recorded vote was ordered.
  The SPEAKER pro tempore. This is a 5-minute vote.
  The vote was taken by electronic device, and there were--ayes 213, 
noes 209, not voting 11, as follows:

                             [Roll No. 344]

                               AYES--213

     Aderholt
     Alford
     Allen
     Amodei (NV)
     Arrington
     Babin
     Bacon
     Baird
     Balderson
     Barr
     Barrett
     Baumgartner
     Bean (FL)
     Begich
     Bentz
     Bergman
     Bice
     Biggs (AZ)
     Biggs (SC)
     Bilirakis
     Boebert
     Bost
     Brecheen
     Bresnahan
     Buchanan
     Burchett
     Burlison
     Calvert
     Cammack
     Carey
     Carter (GA)
     Carter (TX)
     Ciscomani
     Cline
     Cloud
     Clyde
     Cole
     Collins
     Comer
     Crane
     Crank
     Crawford
     Crenshaw
     Davidson
     De La Cruz
     DesJarlais
     Diaz-Balart
     Donalds
     Downing
     Dunn (FL)
     Edwards
     Ellzey
     Emmer
     Estes
     Evans (CO)
     Ezell
     Fallon
     Fedorchak
     Fine
     Finstad
     Fischbach
     Fitzgerald
     Fitzpatrick
     Fleischmann
     Flood
     Fong
     Foxx
     Franklin, Scott
     Fry
     Fulcher
     Garbarino
     Gill (TX)
     Gimenez
     Goldman (TX)
     Gonzales, Tony
     Gooden
     Gosar
     Graves
     Greene (GA)
     Griffith
     Grothman
     Guest
     Guthrie
     Hageman
     Hamadeh (AZ)
     Haridopolos
     Harrigan
     Harris (MD)
     Harris (NC)
     Harshbarger
     Hern (OK)
     Higgins (LA)
     Hill (AR)
     Houchin
     Hudson
     Huizenga
     Hunt
     Hurd (CO)
     Issa
     Jack
     Jackson (TX)
     James
     Johnson (LA)
     Johnson (SD)
     Jordan
     Joyce (OH)
     Joyce (PA)
     Kean
     Kelly (MS)
     Kelly (PA)
     Kennedy (UT)
     Kiley (CA)
     Kim
     Knott
     Kustoff
     LaHood
     LaMalfa
     Langworthy
     Latta
     Lawler
     Lee (FL)
     Letlow
     Loudermilk
     Lucas
     Luna
     Luttrell
     Mace
     Mackenzie
     Malliotakis
     Maloy
     Mann
     Massie
     Mast
     McCaul
     McClain
     McClintock
     McCormick
     McDowell
     McGuire
     Messmer
     Meuser
     Miller (IL)
     Miller (OH)
     Miller (WV)
     Miller-Meeks
     Mills
     Moolenaar
     Moore (AL)
     Moore (NC)
     Moore (UT)
     Moore (WV)
     Moran
     Nehls
     Newhouse
     Norman
     Obernolte
     Ogles
     Onder
     Owens
     Palmer
     Patronis
     Perry
     Pfluger
     Reschenthaler
     Rogers (AL)
     Rose
     Rouzer
     Roy
     Rulli
     Rutherford
     Salazar
     Scalise
     Schmidt
     Schweikert
     Scott, Austin
     Self
     Sessions
     Shreve
     Simpson
     Smith (MO)
     Smith (NE)
     Smith (NJ)
     Smucker
     Spartz
     Stauber
     Stefanik
     Steil
     Steube
     Strong
     Stutzman
     Taylor
     Tenney
     Thompson (PA)
     Tiffany
     Timmons
     Turner (OH)
     Valadao
     Van Drew
     Van Duyne
     Van Epps
     Van Orden
     Wagner
     Walberg
     Weber (TX)
     Webster (FL)
     Westerman
     Wied
     Williams (TX)
     Wilson (SC)
     Wittman
     Womack
     Yakym
     Zinke

                               NOES--209

     Adams
     Aguilar
     Amo
     Ansari
     Auchincloss
     Balint
     Barragan
     Beatty
     Bell
     Bera
     Beyer
     Bishop
     Bonamici
     Boyle (PA)
     Brown
     Brownley
     Budzinski
     Bynum
     Carbajal
     Carson
     Carter (LA)
     Casar
     Case
     Casten
     Castor (FL)
     Castro (TX)
     Cherfilus-McCormick
     Chu
     Cisneros
     Clark (MA)
     Clarke (NY)
     Cleaver
     Clyburn
     Cohen
     Conaway
     Correa
     Costa
     Craig
     Crockett
     Crow
     Cuellar
     Davids (KS)
     Davis (IL)
     Davis (NC)
     Dean (PA)
     DeGette
     DeLauro
     DelBene
     Deluzio
     DeSaulnier
     Dexter
     Dingell
     Doggett
     Elfreth
     Escobar
     Espaillat
     Evans (PA)
     Fields
     Figures
     Fletcher
     Foster
     Foushee
     Frankel, Lois
     Friedman
     Frost
     Garamendi
     Garcia (CA)
     Garcia (IL)
     Gillen
     Golden (ME)
     Goldman (NY)
     Gomez
     Gonzalez, V.
     Goodlander
     Gottheimer
     Gray
     Green, Al (TX)
     Grijalva
     Harder (CA)
     Hayes
     Himes
     Horsford
     Houlahan
     Hoyer
     Hoyle (OR)
     Huffman
     Ivey
     Jackson (IL)
     Jacobs

[[Page H5956]]


     Jayapal
     Jeffries
     Johnson (GA)
     Johnson (TX)
     Kamlager-Dove
     Kaptur
     Keating
     Kelly (IL)
     Kennedy (NY)
     Khanna
     Kiggans (VA)
     Krishnamoorthi
     Landsman
     Larsen (WA)
     Larson (CT)
     Latimer
     Lee (NV)
     Lee (PA)
     Leger Fernandez
     Levin
     Liccardo
     Lieu
     Lofgren
     Lynch
     Magaziner
     Mannion
     Matsui
     McBride
     McClain Delaney
     McClellan
     McCollum
     McDonald Rivet
     McGarvey
     McGovern
     McIver
     Meeks
     Menendez
     Meng
     Mfume
     Min
     Moore (WI)
     Morelle
     Morrison
     Moskowitz
     Moulton
     Mrvan
     Mullin
     Neal
     Neguse
     Norcross
     Ocasio-Cortez
     Olszewski
     Omar
     Pallone
     Panetta
     Pappas
     Pelosi
     Perez
     Peters
     Pettersen
     Pingree
     Pocan
     Pou
     Pressley
     Quigley
     Ramirez
     Randall
     Raskin
     Riley (NY)
     Rivas
     Ross
     Ruiz
     Ryan
     Salinas
     Sanchez
     Scanlon
     Schakowsky
     Schneider
     Scholten
     Schrier
     Scott (VA)
     Scott, David
     Sewell
     Sherman
     Simon
     Smith (WA)
     Sorensen
     Soto
     Stansbury
     Stanton
     Stevens
     Strickland
     Subramanyam
     Suozzi
     Sykes
     Takano
     Thanedar
     Thompson (CA)
     Thompson (MS)
     Titus
     Tlaib
     Tokuda
     Tonko
     Torres (CA)
     Torres (NY)
     Trahan
     Tran
     Underwood
     Vargas
     Vasquez
     Veasey
     Velazquez
     Vindman
     Walkinshaw
     Wasserman Schultz
     Waters
     Watson Coleman
     Whitesides
     Williams (GA)
     Wilson (FL)

                             NOT VOTING--11

     Courtney
     Feenstra
     Garcia (TX)
     Hinson
     LaLota
     McBath
     Murphy
     Nadler
     Nunn (IA)
     Rogers (KY)
     Swalwell

                              {time}  1106

  So the resolution was agreed to.
  The result of the vote was announced as above recorded.
  A motion to reconsider was laid on the table.


                          PERSONAL EXPLANATION

  Ms. GARCIA of Texas. Mr. Speaker, due to illness, I was unable to 
vote today. Had I been able to vote, I would have voted NAY on Roll 
Call No. 343, Ordering the Previous Question on H. Res. 953; NO on Roll 
Call No. 344, H. Res. 953.


                          PERSONAL EXPLANATION

  Mr. NADLER. Mr. Speaker, today, I missed votes due to a personal 
matter. Had I been present, I would have voted NAY on Roll Call No. 343 
and NO on Roll Call No. 344.

                          ____________________